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Organization

GOLDSBORO FIRE CO NO 1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARVINA CONLEY (AMBULANCE CAPTAIN)
(717) 932-9477
Entity
Organization

Contact information

Practice address
57 N YORK ST, ETTERS, PA 17319-8952
(717) 932-9477
Mailing address
PO BOX 726, NEW CUMBERLAND, PA 17070-0726
(717) 214-6018
(717) 214-6020

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03343
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001109919
PA
Enumeration date
06/24/2005
Last updated
11/05/2012
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